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Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
Active
Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLE DAVID TAYLOR P.T. (P.T.OWNER)
(315) 698-9353
Entity
Organization
Contact information
Practice address
5586 LEGIONNAIRE DR, SUITE 6, CICERO, NY 13039-3504
(315) 698-9353
(315) 698-4463
Mailing address
5586 LEGIONNAIRE DR, SUITE 6, CICERO, NY 13039-3504
(315) 698-9353
(315) 698-4463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012257-1
NY
Other
Enumeration date
12/26/2006
Last updated
01/25/2012
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